EDWARD EUGENE WIRKOWSKI

SALT LAKE CITY, UT
NPI1609224047
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CT  6555)
Enumeration Date2016-05-26
Last Update Date2019-05-17
Business Address
MR. EDWARD EUGENE WIRKOWSKI APRN
500 FOOTHILL DRIVE BUILDING 3 - IPU
SALT LAKE CITY, UT 84148
Phone number: 801-582-1565
Mailing Address
MR. EDWARD EUGENE WIRKOWSKI APRN
7345 S CLAIM JUMPER CIR
COTTONWOOD HEIGHTS, UT 84121-4601
Phone number: